Building Interprofessional Collaborative Practices Through a Support Program for Patients With Type 2 Diabetes in Primary Care.

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State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_CDC98C26E1C3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Building Interprofessional Collaborative Practices Through a Support Program for Patients With Type 2 Diabetes in Primary Care.
Journal
The Journal of continuing education in the health professions
Author(s)
Bawab N., Moullin J., Jotterand S., Rossier C., Schneider M.P., Perraudin C.
ISSN
1554-558X (Electronic)
ISSN-L
0894-1912
Publication state
Published
Issued date
01/04/2023
Peer-reviewed
Oui
Volume
43
Number
2
Pages
77-86
Language
english
Notes
Publication types: Observational Study ; Multicenter Study ; Journal Article
Publication Status: ppublish
Abstract
The building of interprofessional collaborative practices throughout the implementation process of a patient support program (Siscare) in primary care for patients with type 2 diabetes was assessed. Siscare included regular patient-pharmacist motivational-based interviews; medication adherence, patient-reported, and clinical outcomes monitoring; and physician-pharmacist interactions.
This investigation was a prospective, multicenter, observational, mixed-methods cohort study. Interprofessionality was operationalized through four progressive levels of interrelationship practices between the health care professionals. The target number of patients per pharmacy was 10 among 20 pharmacies.
The project started with the recognition of Siscare by stakeholders, the creation of an interprofessional steering committee, and the adoption of Siscare by 41 pharmacies among 47 pharmacies in April 2016. Nineteen pharmacies presented Siscare at 43 meetings attended by 115 physicians. Twenty-seven pharmacies included 212 patients; however, no physician prescribed Siscare. Collaboration primarily occurred through the unidirectional transmission of information from the pharmacist to the physician (level 1: 70% of pharmacists transmitted interview reports to physicians), bidirectional exchange of information sometimes occurred (level 2: 42% received physician responses), and concerted measures of treatment objectives took place occasionally (level 3). Twenty-nine of 33 physicians surveyed were in favor of this collaboration.
Despite multiple implementation strategies, physician resistance and lack of motivation to participate exists, but Siscare was well received by pharmacists, patients, and physicians. Barriers to collaborative practice (financial and IT) need to be further explored. Interprofessional collaboration is a clear need to improve type 2 diabetes adherence and outcomes.
Keywords
Humans, Diabetes Mellitus, Type 2/therapy, Prospective Studies, Cohort Studies, Health Personnel, Pharmacists, Community Pharmacy Services, Primary Health Care, Interprofessional Relations
Pubmed
Web of science
Open Access
Yes
Create date
13/03/2023 10:30
Last modification date
25/01/2024 7:44
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